Active NPI
Paul G Sipe, MD
- Surgery Physician
- York, PA
National Provider Identifier
1487662433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD040090E
- Practice address
- 1601 S Queen St
York, PA 17403-4630 - Phone
- (717) 812-7500
- Fax
- (717) 848-2074
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD040090E | PA | Primary |
| Colon & Rectal Surgery Physician | 208C00000X | MD040090E | PA |
Addresses
Primary practice location
1601 S Queen St
York, PA 17403-4630
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-7500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012572880003 | Medicaid | PA | |
| 102885344 | Medicaid | PA | |
| P01448247 | Other | PA | RAILROAD MEDICARE |
| 665608 | Other | PA | BLUE SHIELD |
| 50049088 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040090E | PA | MD | Colon & Rectal Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1487662433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-812-7500",
"fax_number": "717-848-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 S QUEEN ST",
"city": "YORK",
"state": "PA",
"postal_code": "174034630",
"telephone_number": "717-812-7500",
"fax_number": "717-848-2074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPE",
"first_name": "PAUL",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD040090E",
"primary": true
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "PA",
"license": "MD040090E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012572880003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102885344",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01448247",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "665608",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50049088",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.